Physician's Role
Conditions
Brief summary
10 Clinics within Stanford Health Care are randomized to receive or not receive provider alerts for 5 commonly overused tests and treatments.
Detailed description
10 Clinics within Stanford Health Care are randomized to receive or not receive provider alerts for 5 commonly overused tests and treatments. Thus there will potentially be 50 clinics enrolled across the 5 tests/treatment categories. However, it is expected that some clinics will meet criteria to be one of the 10 clinics in more than test/treatment category. Thus the total number of clinics involved will be between 10 and 50. These 5 tests / treatments are taken from the Choosing Wisely list. All alerts will be provided using the electronic medical record and will be automated.
Interventions
BEHAVIORALElectronic Record Alert
Electronic alert within the medical record indicating the ordered test or treatment may be inappropriate. The provider can indicate why the test or treatment is appropriate and complete the order.
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
High volume clinics defined as the top 10 clinics in Stanford Health Care based on number of electronic orders.
Exclusion criteria
None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of electronic orders entered per 100 clinic patients. | 6 months | There are five primary outcomes for the five different alerts. For each alert study the outcome will be orders that would qualify for an alert per 100 patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of potential electronic alerts divided by the number of electronic orders | 6 months | There will be five secondary outcomes which will be the alert candidate to order ratio. For both the control and intervention groups we will determine the fraction of orders that qualify for an alert. |
Outcome results
None listed